6-th Volterra-CIRM International
School
"Quantum Information: Filtering
and Control"
Levico
(Trento), Italy, July 3-9, 2004
Family Name:
First Name:
Age:
Sex:
Mailing Address:
e-mail:
Phone:
Telefax:
Citizenship:
Present professional position:
Current interest in the field of the School:
I need financial support Yes No
If travel expenses are requested, please motivate in detail.
Arrival date (standard: 3 evening):
Departure date (standard: 9 lunch time):
I would share a double bedroom with:
I would like to book a single bedroom:
Date
Signature
Deadline for applications: June 15, 2004